| Consolidated Dental Office Psc | |
|
Consolidated Medical Plaza ,ave. Gautier Benitez Suite 202 Caguas PR 00725 | |
| (787) 743-2128 | |
| (787) 743-2128 |
| Full Name | Consolidated Dental Office Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Consolidated Medical Plaza ,ave. Gautier Benitez, Caguas, Puerto Rico |
| Authorized Official Name and Position | Pedro Gerardo Colon (PRESIDENT) |
| Authorized Official Contact | 7877432128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consolidated Dental Office Psc Consolidated Medical Plaza ,ave. Gautier Benitez Suite 202 Caguas PR 00725 Ph: (787) 743-2128 | Consolidated Dental Office Psc Consolidated Medical Plaza ,ave. Gautier Benitez Suite 202 Caguas PR 00725 Ph: (787) 743-2128 |
| NPI Number | 1023349537 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 01/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023349537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1889 (Puerto Rico) | Primary |
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